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Self Refferal to Physio

what a waste of time

Female
wonderoushen  Female  Gwynedd 2-Sep-2019 10:51 Message #4750537
I reffered myself as told to, picked up one of the forms and filled it all in and dropped it off only to recieve a phone call earlier to tell me they couldn't see me as I have problems in more than one area and I need to see a doctor and get them to refer me. Thing is, the doctor dosen't know of this policy, theres nothing about it on the forms or anything and I just thought what a waste of time and money, why bother with self refferal at all? I told the woman on the phone that the doctors didn't know of this policy, nor does it say anything on the forms, she said it was an old form and wrong, so I asked her if she didn't think it would be a good idea to recall the old forms and issue new ones. She's going to ring my GP to ask him if its alright for me to go and see them, I almost told her not to bother as this is the sort of incompetance I've come to expect from that dept.

Thats my rant for the morning, I can't promise its for the day as something else will propably come along, its seem set to be one of those days.
Male
tumbleweed  Male  Gloucestershire 2-Sep-2019 11:02 Message #4750538
I won't wind you up today then....perhaps tomorrow...do we need an appointment?
Male
Hierophant  Male  East Anglia 2-Sep-2019 11:06 Message #4750539
Oh well at least you can't blame the English, thank gawd for a devolved health service....
Female
JustLyn  Female  Cheshire 2-Sep-2019 12:07 Message #4750540
It'll be the English idea, just the same where I work. If you don't fit the proforma then the system doesn't fit you.
Female
Minnie-the-Minx  Female  Hertfordshire 2-Sep-2019 15:58 Message #4750553
Don't get me on the topic of medical proformas. I've been ill for the last 18 months because of the wrong asthma meds. I ended up in hospital when I went to India and July and they fixed it. My breathing is better than it has been for the last two years.
Female
JustLyn  Female  Cheshire 2-Sep-2019 16:07 Message #4750556
Minnie,

At my last asthma updates, the consultants were pleading how the UK is one of the worst where people die from asthma not being treated properly. GPs are still starting patients on short acting salbutamol / terbutaline and not managing with the correct doses of preventer (though some patients don't follow the advice).

I'm not an asthma nurse specialist but it drives me nuts, like we are in the dark ages not moving forward in giving the proper advice.

On the other hand, had a patient from Iran where privately he had been sold virtually every inhaler he didn't need and no symptoms of asthma.
Male
MrQuiet  Male  Northamptonshire 2-Sep-2019 16:14 Message #4750562
i know a few asthma sufferers and none of them follow the instructions given to them by doctors.
Female
wonderoushen  Female  Gwynedd 2-Sep-2019 19:00 Message #4750594
I still think we're lucky that health is a devolved power, unfortunately no matter where you're governed from doen't save you from idiots. I think this particular dept is crazy an I'm a bit reluctant to go there as the last physio I saw asked me what the point of core strength was and asked why I wanted to do exercise because its boring! I'm told that good physios do actually exist, have have seen a few before, most have been pretty useless and one made me worse that when I went to see her.

Yes you do need an appointment to wind me up and I've a full book!
Female
Minnie-the-Minx  Female  Hertfordshire 2-Sep-2019 22:15 Message #4750633
It wasn't preventer v reliever. I believe that I have had a low grade infection for the last 18 months. I have been back and forth in that time saying that I think that I have an infection and they have a listen and say no. It's not just that I couldn't breathe. I felt really ill and not responding to the salbutamol. My asthma is exercise induced. I don't get colds.
18 months ago I called the surgery for an appointment and they wouldn't let me see a doctor and sent me to the nurse for an asthma check. She decided that I needed corticosteroids. I took them religiously for 3 months and it made diddly squat difference. I was surprised to be honest that it was changed without seeing a doctor or any investigation. I've seen before far too many times that it is assumed that an existing condition is the issue and being treated incorrectly. Couldn't give me any proper explanation, so I concluded that I was on a NICE proforma and she had no idea herself.
I have had had 3 chest infections since March and got by without antibiotics. It all kicked off again about 3 or 4 days before I went to India. I knew that I was ill. I spent a day sightseeing in the pollution in Delhi and flew up to Leh at 12,000ft. I was fighting for breath. I am an experienced trekker at high altitude and I know that it wasn't the altitude. First day in Leh, I ended up in the local hospital on oxygen. Sats were 50 and I was blue in the face. Three lots of different antibiotics later and I started to feel better the day that I came home.
My breathing is now better than it has been for the last two years and I am not on the beclomethasone either and have no intention of using it. I now respond to salbutamol again. tbh, I no longer have any confidence in the surgery and I wouldn't go back ever if I didn't need a scrip for my salbutamol, without which I cannot exercise.
Female
eurostar  Female  Merseyside 2-Sep-2019 22:19 Message #4750635
that's a shame about the nurse Minnie, our nurses at health centre are amazing, they know the patients, they listen to the patients and give the correct medication.
I haven't seen a doctor there for ten years,,, I always ask for the nurse, she makes me feel safe and listened too...
Female
Minnie-the-Minx  Female  Hertfordshire 3-Sep-2019 05:24 Message #4750645
Our nurse is usually very good too, Euro. I do get the reluctance to prescribe antibiotics, but it was the unwillingness to consider any other options or the possibility that there might be an underlying problem that needed investigation that I thought was reckless. And it meant that I have been unwell for such a long time and not even be able to walk up a hill.
I noticed the difference after the antibiotics when I went back to work. We have a very steep flight of stairs at work that goes straight up two floors. For the last year, I haven't been able to make it up in one go and I was wheezing like mad for ages afterwards and not responding to my inhaler. Now I can walk straight up to the top and I am a bit out of puff at the top, but only what you would expect and as soon as my heart rate drops back, I am breathing normally again.
Female
wonderoushen  Female  Gwynedd 3-Sep-2019 10:32 Message #4750668
I think theres a general presumption that a pre-existing condition is the cause of any new symptoms, a lady I dog walk with has just been told she has a heart problem that needs fairly urgent treament and its nothing to do with COPD which she suffered from for years.

Now I've got to see the doctor next week so as he can write a referal letter, if it all turns out to be a waste of time then I will complain to the health board, if I can find who to complain to as they seem to spend a lot of their time hiding.
Female
JustLyn  Female  Cheshire 5-Sep-2019 09:40 Message #4750981
The guidelines for assessing chest infections is to not prescribe until a positive sputum sample has been received. Anyone with a lack of response or such symptoms should at least have a chest infection ruled out. Also supposed to have a full blood count as white cells would be raised if body fighting an infection. This is to reduce unnecessary prescriptions of anti biotics too.

By the way, I'm not sure it was this thread I mentions ABL healthcare for weight reduction. I found out yesterday the private health company has been passed over and is now another brand. Although it is slightly off thread, my point is, like the physio, I'm not sure outboarding these services gives any consistent continuity either for the users or the people working for them. Perhaps another thread.
Female
Minnie-the-Minx  Female  Hertfordshire 5-Sep-2019 13:32 Message #4750999
Exactly, Lyn. Why did they not test it?

Female
joolsy  Female  Essex 10-Sep-2019 18:07 Message #4751926
Hi minnie .im no dr .but imo .you should have a blood test to see if your imflamorty markers are up also your white blood cells will show if infection is present .if so you need antibotics no ifs or buts you may need .2 courses like my grandaughtet maisie . So get to drs me lovely x
Female
joolsy  Female  Essex 10-Sep-2019 18:15 Message #4751929
And hen .the same 2 you demand you are refered for physio .it so gets on my nerves ya no..think its down to budgets and cuts .i lost my sight because my gp wouldnt give me 60mg of steroids to save my sight she would only perscribe my normal prescription for ten .i kept telling her what the emergency eye dr said .but wouldnt have it.i waited a week till i say eye dr again and my sight had gone in my left eye .i woint get it back
Female
wonderoushen  Female  Gwynedd 10-Sep-2019 18:37 Message #4751930
The GP has refered me, it just bugged me that they're making a big thing about self referal and don't say that they can't see anyone with more than 1 problem or the same problem in more than one area.


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